CE Determination Checklist Project Identification Highway: Enter highway here County: Choose an item. District: Choose an item. Associated CSJs: Enter associated CSJ numbers CSJ #: Enter CSJ Number Limits/From: Enter Limits/From Limits/To: Enter Limits/To Select the specific CE: C-List Choose an item. D-List Choose an item. Findings Requirement Finding(s) Click on an entry for additional choices. Choices followed by an *asterisk require further explanation in the next column. Completion/Approval Date and/or Explanation* * Why impact is not significant or why features not included 43 TAC 2.43 (STIP/UTP) Project is not required to be on the STIP/UTP Transportation Conformity Project is not subject to or is exempt from conformity Congestion Management Plan Does not apply TCEQ Coordination Not required CO TAQA Not required MSAT Analysis No meaningful impact on MSAT Hot Spot Analysis Not required Section 404/401 Permit not required Section 303(d) Project not within 5 miles of an impaired assessment unit Floodplain Requirements Project is not within FEMA 100-year floodplain Section 9 No impacts to bridge/causeway (including lighting) across a navigable water Section 10 No potentially navigable waters present Coastal Barrier Resources Act Does not apply Texas Coastal Management Program Project not within TCMP boundary Edwards Aquifer Project is not within Contributing, Transition, or Recharge Zone International Boundary Water Commission Project not within floodplain or floodzone of the Rio Grande Trinity River Corridor Outside regulatory zone Wild and Scenic Rivers Project would not impact Wild and Scenic Reach of the Rio Grande Click here to enter a date. Traffic Noise Analysis Check all that apply. Not required No impacted receivers Contours identified Impacted receivers, no mitigation Impacted receivers, mitigation identified* A commitment has been made to perform a noise workshop for properties adjacent to proposed noise abatement A noise workshop has been performed for properties adjacent to proposed noise abatement Click here to enter text Section 4(f) No impacts to Section 4(f) properties Click here to enter text Click here to enter a date. Parks and Wildlife Code, Chapter 26 No Chapter 26 properties present Click here to enter text Click here to enter a date. Natural Resources Code, Chapter 183 No protected properties present Click here to enter text Click here to enter a date. Public Participation None required Click here to enter a date. Community Impacts Project activities do not have the potential to result in community impacts Click here to enter text Historic Properties No potential to cause effects on historic properties (project listed in Appendix 3 of PA and no review list of MOU Click here to enter text Click here to enter a date. Archeological Resources No potential to cause effects on historic properties (project listed in Appendix 3 of PA and no review list of MOU) Click here to enter text Click here to enter a date. Health and Safety Code, Chapter 711 No cemeteries present Click here to enter a date. TPWD Coordination Coordination not required Click here to enter a date. Endangered Species No effect Cick here to enter text Click here to enter a date. Fish and Wildlife Coordination Act Does not apply Click here to enter a date. Magnuson Stevens Fisheries Conservation Management Act Project will not directly or indirectly impact EFH Click here to enter text Click here to enter a date. Farmland Protection Policy Act FPPA does not apply Click here to enter a date. Marine Mammal Protection Act Does not apply Click here to enter a date. Release Date: 2/2014 Click here to enter a date. Click here to enter text Click here to enter a date. Click here to enter a date. 130.01.CHK CE Determination Checklist Bicycle and Pedestrian Accommodations Check all that apply. Project is exempt from bicycle and pedestrian accommodation requirements Barriers to pedestrian access will be removed Lane width will accommodate bicycle use A shared use lane will be provided A bicycle land will be provided Curb ramps will be modified for ADA compliance Sidewalks and/or crosswalks will be provided 5-ft (minimum) shoulders will be provided on a rural facility No bicycle or pedestrian facilities will be provided (include explanation of why)* Click here to enter text Proposed CE Determination Confirm, by checking the boxes below, that the project does not involve unusual circumstances, leading to: The project will not result in significant environmental impacts, including: Significant impacts to planned growth or land use for the area Relocation of significant numbers of people Significant impacts on any natural, cultural, recreational, or other resource Significant air, noise, or water quality impacts Significant impacts on travel patterns Other impacts which, individually or cumulatively, have significant environmental impacts The project does not involve substantial controversy on environmental grounds The project will not have a significant impact on properties protected by Section 4(f) of the DOT Act or Section 106 of the National Historic Preservation Act. The project does not involve any inconsistencies with any Federal, State, or local law, requirement, or administrative determination relating to the environmental aspects of the action. Prepared by: ______________________________________________________________ Date: ___________________________ Signature Peer Review Complete this section ONLY for D-List Categorical Exclusions. This section is to be signed by an independent reviewer. I certify that I did not prepare the CE documentation for this project, and I have reviewed the project file documentation and the proposed determination, and I concur that the project is appropriately classified. Reviewed by: ______________________________________________________________ Date: ___________________________ Signature Final CE Determination The person with approval authority for the project completes this section. Select the correct determination below: Determination of Categorical Exclusion for a Project Assigned to TxDOT by FHWA The State has determined that this project has no significant impact(s) on the environment and that there are no unusual circumstances as described in 23 CFR 771.117(b). As such, the project is categorically excluded from the requirements to prepare an environmental assessment or environmental impact statement under the National Environmental Policy Act. The State has been assigned, and hereby certifies that it has carried out, the responsibility to make this determination pursuant to Chapter 3 of Title 23, United States Code, Section 326 and a Memorandum of Understanding dated December 6, 2013, executed between the FHWA and the State. Determination of Categorical Exclusion for a State Project This project will have no significant impacts on the environment. I approve this project as a categorical exclusion. Project Not Assigned to TxDOT by FHWA The State has determined that this project is not a project type assigned to the State by FHWA, and determines that this project is ready for FHWA review. Signed: ___________________________________________________________________ Date: ___________________________ Signature Release Date: 2/2014 130.01.CHK